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YES, I would like to become a MEMBER and/or SUBSCRIBER of freeFall Theatre:<br />
Name:<br />
Address:<br />
City: ST: Zip:<br />
Phone:<br />
Email:<br />
I would like to become a MEMBER at the:<br />
FRIEND LEVEL ($100 or $9/month)<br />
BRONZE LEVEL ($250 or $22/month)<br />
SILVER LEVEL ($750 or $65/month)<br />
GOLD LEVEL ($1,250 or $108/month)<br />
PLATINUM LEVEL ($2,500 or $215/month)<br />
DIAMOND LEVEL ($5,000 or $430/month)<br />
DIRECTOR’S CIRCLE LEVEL ($10,000) or $860/month<br />
BENEFACTOR LEVEL ($25,000 or $2,100/month)<br />
Want to spread payment of your membership over 12 months?<br />
Just check the box below and provide your credit card to set up a monthly autopay!<br />
Please indicate how you would like to be listed:<br />
I would like to SUBSCRIBE to the <strong>20</strong><strong>19</strong>/<strong>20</strong><strong>20</strong> season:<br />
I would like<br />
I would like<br />
I would like<br />
SEASON TICKETS at $249 each<br />
freePASS packages at $225 each<br />
freeFall Under 40 packages at $99 each<br />
Enclosed is my check made payable to: freeFall Theatre<br />
Please charge my credit card for the full amount immediately.<br />
Please charge my credit card in full for my subscription and in 12 equal monthly<br />
payments for the membership level I selected above.<br />
Card #: Exp: CVV:<br />
Membership benefits begin upon payment and continue for 1 year.<br />
You can become a member and/or subscriber by visiting the box office or:<br />
online: freefalltheatre.com/memberships<br />
by phone: 727.498.5<strong>20</strong>5 ext 0<br />
by mail: 6099 Central Avenue, St. Petersburg<br />
FREEFALL THEATRE IS A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION. YOUR DONATION, LESS GOODS AND SERVICES RECEIVED, IS TAX-<br />
DEDUCTIBLE TO THE FULLEST EXTENT OF THE LAW. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE<br />
OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE, WITHIN THE STATE, 1-800-HELP-FLA. REGISTRATION<br />
DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. REGISTRATION CODE CH33321. WE DO NOT EMPLOY A<br />
PROFESSIONAL FUNDRAISER. 100% OF EACH CONTRIBUTION IS UTILIZED BY FREEFALL THEATRE.
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